05-105417 City of Federal Way Community Development Services Building - Commercial Permit #: 05 - 105417 - 00 - CO
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
Project Name: ADVANCE AMERICA
Project Address: 27400 PACIFIC HWY S SuiteC Parcel Number:332204 9009
Project Description: TI-Installation of 84",half-height walls. No plumbing,mechanical,or lighting work on this permit.
Owner Applicant Contractor Lender
BALDRIDGE-FEDERAL WAY LLC MALONEY&BELL GC INC OF CA MALONEY&BELL GC INC OF CAi NONE
11825 MANCHESTER RD MALONEY&BELL GC INC OF CA] MALONBG980CN 7/6/06
ST LOUIS MO 63131-4620 11390 SUNRISE GOLD DR SUITE 71 MALONEY&BELL GC INC OF CA;
RANCHO CORDOVA CA 95742 11390 SUNRISE GOLD DR SUITE 71 NONE
Includes:
- i
Census category: 437-Comm #I #2 t
#3 #4
Occupancy Group: B ]
Construction Type: Type V_B it
Occupancy Load:
Floor Area(Sq.Ft.): 900
•
V
1st Floor Proposed Sq.Feet 900 Census Category... .. .... A, *; Commercial alt/add
Fire Sprinklers No Mechanical . No�
Number of Stories 1 Permit for Building Shell Only No
Plumbing No Will Certificate of Occupancy be Issued? Yes
Zoning Designation BC
PERMIT EXPIRES April 19,2006.
Permit issued on October 21,2005
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
r
Owner or agent: C �_ Date: / 2/' a J
It it ios VA. ti:(A c� SQ,
i
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City of Federal Way
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 110.2 of the Uniform Building Code certifying that at.
the time of issuance,this structure was in compliance with the various ordinances of the City regulating building
construction or use. This certificate is valid ONLY when endorsed by City staff.
Tenant Name: ADVANCE AMERICA Permit number: 05 - 105417-00
Address: 27400 PACIFIC S SuiteC
#1 #2 #3 #4
Occupancy Group: B
Construction Type: Type V-B
Occupancy Load:
Floor Area(Sq.Ft.): 900
Owner BALDRIDGE-FEDERAL WAY LLC
Name: 11825 MANCHESTER RD
Address: ST LOUIS MO 63131-4620
mac• n4.44., ceo •
/2/,lac
Building Official ,1, )f /z//z.r Date
The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which experience has shown most severely
affect the health and safety of the general public. Although the City has made as complete a review and inspection as is reasonably possible(within budgetary time
and personnel limitations),the City neither guarantees nor warrants to the owner/occupant or to any other person that this Certificate evidences strict compliance
with each and every ordinance or regulation of the City or the State of Washington affecting the construction or use of said structure or the land upon which it is
situated Such compliance is the responsibility of the owner and/or occupant of the premises.
' . THIS CARD IS TO MAIN ON-SITE . .
CITY OF -„A",.4....„444,
Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-105417-00-CO
Owner:
Address: 27400 PACIFIC HWY S Suite C
FEDERAL WAY, WA 98003
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD.
Inspections are listed as close to sequential order as possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not
be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections
are logged on the back of this card.
,❑ Footings/Setback(4110) ❑ Foundation Wall (4115) 0 Drainage/Downspout(4040)
Approved to place concrete Approved to place concrete Approved to backfill
By Date By Date By Date
❑ Re-steel (4215) ❑ Plumbing Groundwork(4190) 0 Slab/Concrete Floor(4255)
Approved to place concrete or grout Approved to cover Approved to place concrete
By Date By Date By Date
•
❑ Underfloor Framing(4285) ❑ Floor Sheathing(4105) ElShear Wails (4245)
Approved to sheath floor Approved to install flooring Approved to install siding
By Date By Date By Date
❑ Roof Sheathing (4220) ❑ Fire/Draft Stops (4095) NOTE: Prior to scheduling a Framing(4120)
Approved to install rooting Approved inspection;Electrical,Plumbing&Mechanical
Rough-in and Fire/Draft Stop inspections must be
By Date By Date signed-off and approved. IBC 109.3.4/UBC 108.5.4
•
ElFraming (4120) ❑ Insulation (4150) ❑Gypsum Wallboard Nailing (4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By Date By Date 1 By Date
0 Suspended Ceiling Grid (4265) 0 Final-Fire Department(4060) ❑ Final -Planning(4070)
Approved to drop tile Approved Approved
By Date By Ark Date/(• 2 y . 5 By Date
❑ Final-Public Works (4080) ❑ Final-Building (4050)
Approved Approved
By rDate By Date /Z,/(o/vS
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i � c5 7
CITY OF A - c v • O J - I _0 T.
c Federal Wa � pEPMIT - - - -
OMMUNrnYDEVELOPMENTSERVICES ZOO
SF MF� ME EL PL DE EN FP
33325 D AVENUE SOUTH•PO BOX 9718 TTT Y L I C A T I O N
FEDERAL WAY,WA 98063-9718 �„(((��11� 70 / /
253-835-2607•FAX 253-835-2609 Q,�
www.citvojjederalwati coin
9Y OF FEDERAL VII
PT.
The ollowin. is re.iit"1 •rmattion-an incom.lete a..lication will not be acce.ted. Please .rint le.ibl (in in or .e.
'• • "... ■ PROPERTY INFORMATION
SITE ADDRESS 2.447 Y6/0 / - L i A•C #(,�/Y .5*- i�� SURE/UNIT#
ASSESSOR'S TAX/PARCEL it - LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
■ PROJECT INFORMATION
TYPE OF PERMIT NI BUILDING 0 PLUMBING 0 MECHANICAL
D DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
AIf -hi/-6,I hLGLLS
z/,,fre L L ivL--(,,,/ C ' r("Hi'v i j- ,3-k'P<T
PROJECT NAME(Name of Business or Owner Last Name) A/ (✓ !/4✓6 ///✓i t/P'i C /
` > ": PEOPLE INFORMATION
PROPERTY NAME /�(e�J��
,L �la.t mil% v `F-2`%� _, _ Cf.
PRIMARY PHONE -
OWNER T(JiYrJ 4�6/�/�/^ t ClJt'D�// ( )
MAI,Ir IiAZ�SS IV a 1, .,
t „^G 1 CIADM 5 'L4 '3
CONTRACTOR COMPANY NAME
I�V�(r� f(/LO
APPLICANT NAME OFFICE PHONE
� „i c// ��� c oct-c C;r:.�-� (i•C-77 .331 -� rz
/'7 GcJN�
MAILING ADDRESS CITY,STATE,,ZIP CELL PHONE
i/3 /U 5c'vr,Cc y,i��Jr' i NcA.- CJ:��47t/e7 CA (iY ) .3'�5, -o2/2
CITY OF FEDERAL WAY BUSINESS LICEN NUMBER EXPIRATION DATE - FAX NUMBER
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each kpplicationV EXPIRATION DATE
4 •C () Ai E69dciti 5r ic,f/ ' e'dy
APPLICANT COMPANY NAME APPLICANT NAME OFFICE O E ,4
('%7/7"Z.1."/ie/!, - Se_V/ /''/i C L f doi/o, e WC") 3‘ - � '75"
MAILING ADDRES'S CITY,STATE,ZIP - CELL PHONE
-W 52)- ini /I'M1 w fv qt.''9ti c)-4• 73�:72 (gar 13:73 -02/2
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant ❑Agent AcOther(Describe)C;,•--jj' GI912 Vie --1 ale - ,ic
CONTACT NAME ;n Li':� PRIMARY PHONE
( ) - E-MAIL ADDRESS
V
LENDER ,; on is � . NAME
ix�4.- ir" r , cen ate�-. //,�
MAILING ADDRESS CITY,STATE,ZIP
•, . I DETAILED BUILDING INFORMATION .
-` EXISTING USE \i/L(L,a-l -1 PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ C C�'
VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ES )(/:110 FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YESO
`, WATER SERVICE PROVIDER AKEHAVENN ❑ HIGHLINE 0 TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER AKEHAVEN a HIGHLINE 0 PRIVATE(SEPTIC)
)! PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
f Q. FT. SQ. FT. SQ. FT.
BASEMENT
FIRST 0
SECOND
THIRD
FOURTH .
ADDITIONAL FLOORS(DESCRIBE)
•
DECK(COVERED?)
GARAGE ❑ CARPORT❑
EXISTING PROPOSED TOTAL l OT DI��P 17: y,� •, 'TOTAL aP
NUMBER OF FLOORS r 3
**NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES.
Indicate number of each type of future to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HO omm<miaq WOODSTOVES
BOILERS FIREPLAC IN ERTS RANGES MISC(Describe)
COMPRESSORS FURNACE WATER HEATERS
DUCTS GAS PIPE ��
PLUMBING
BATHTUBS(or Tub/Shower Co SHOWERS WATER CLOSETS(roil t) _ MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE ETS SUMPS RAINWATER SYST
W G MACHINES URINALS HOSE BIBBS
LAVS(Bathroom sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I
am authorized by the owner of the above premises to perform the work for which the permit application is made. I further agree to hold
harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred in the investigation and defense of
such claim), which may be made by any person,including the undersigned, and filed against the City of Federal Way,but only where such claim
arises out of the reliance of the city,including its officers and employees, upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE 4U pez..E/l/Ttr✓7-v DATE /e' Zi
(Signature) (Title)
RELATIONSHIP TO PROJECT 0 Owner ❑ Agent zContractor ❑ Architect ❑ Other
)117 74:;737s„AD. XON ,c` +_. e L� ".a7,i` a ' Y 3{ 'u'rH `®E '.R�x k II 1 ® I�
w*»+y- L ,...d w.reu�tw k'6�.Ea4= $5��,�C, ta. .,aca:xa4'-w` �e-._..�. -4
D1 o ny.� �tsr `�a`��� `,ate " � � � � ���,� O���s
I �� �` S ? 37 s,7,i7,, C YES .<. NO 7Y
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Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application